Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.75 / $69.69 / $78.73	Facility		$59.75	$69.69	$78.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $65.14 / $84.05	Professional		$57.59	$65.14	$84.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $70.73 / $122.86	Professional		$60.12	$70.73	$122.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.85 / $107.85 / $107.85	Facility		$107.85	$107.85	$107.85
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $107.85 / $107.85 / $107.85	Professional		$107.85	$107.85	$107.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.65 / $84.65 / $84.65	Facility		$84.65	$84.65	$84.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $65.77	Professional		$65.77	$65.77	$65.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $80.76 / $160.61 / $332.00	Facility		$80.76	$160.61	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.76 / $117.36 / $171.21	Professional		$80.76	$117.36	$171.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.78 / $69.86 / $71.91	Facility		$60.78	$69.86	$71.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $80.34 / $124.77	Professional		$60.78	$80.34	$124.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $84.65 / $84.65 / $74,999.25	Facility		$84.65	$84.65	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $68.95 / $184.00	Professional		$65.77	$68.95	$184.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.84 / $86.85 / $174.72	Professional		$59.84	$86.85	$174.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $69.86 / $80.23 / $80.23	Facility		$69.86	$80.23	$80.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $80.23 / $135.32	Professional		$65.78	$80.23	$135.32